94690
HCPCS Procedure Code
HCPCS code 94690 is the #3,654 most-billed Medicaid procedure code, with $1.4M in payments across 53K claims from 2018–2024. The national median cost per claim is $25.67.
Total Paid
$1.4M
0.00% of all spending
Total Claims
53K
Providers
101
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 94690? Based on 94 providers billing this code nationally.
Median
$25.67
Average
$24.81
Std Dev
$13.34
Max
$56.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.56 and $35.22 per claim for this code.
90% bill between $5.06 and $41.50.
Top 1% bill above $52.07.
About This Procedure
HCPCS code 94690 was billed by 101 providers across 53K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.67
Providers Billing
94
National Spending
$1.4M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94690
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1811226749 | $216K |
| 2 | 1194721043 | $142K |
| 3 | 1619073046 | $82K |
| 4 | 1780943696 | $81K |
| 5 | 1114013315 | $78K |
| 6 | 1407059199 | $73K |
| 7 | 1851352678 | $72K |
| 8 | 1578744892 | $59K |
| 9 | 1891079893 | $58K |
| 10 | 1821454505 | $53K |
| 11 | 1578980736 | $37K |
| 12 | 1306999792 | $35K |
| 13 | 1619082625 | $32K |
| 14 | 1699206409 | $30K |
| 15 | 1083672133 | $29K |
| 16 | 1417312166 | $29K |
| 17 | 1760626477 | $28K |
| 18 | 1679013098 | $23K |
| 19 | 1225058969 | $23K |
| 20 | 1013273085 | $21K |
Showing top 20 of 101 providers billing this code